| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.08 | $5.08 | $5.08 | |
Aetna
| Professional | $2.60 | $5.08 | $7.41 | |
BCBS
| Facility | $2.23 | $5.27 | $13.04 | |
BCBS
| Professional | $6.05 | $7.45 | $17.60 | |
Cigna
| Professional | $4.32 | $4.32 | $4.32 | |
Medica
| Facility | $5.08 | $8.46 | $15.34 | |
Medica
| Professional | $3.25 | $3.59 | $42.13 | |
United
| Professional | $2.99 | $3.59 | $5.41 |